GLEN ROBERTS CHILD STUDY CENTER (VERDUGO MENTAL HEALTH) NPI 1346381993

Community/Behavioral Health in Glendale, CA

NPI 1346381993 Organization Community/Behavioral Health

About GLEN ROBERTS CHILD STUDY CENTER (VERDUGO MENTAL HEALTH)

Glen Roberts Child Study Center (verdugo Mental Health) is a provider established in Glendale, California specializing in community/behavioral health. The NPI number of Glen Roberts Child Study Center (verdugo Mental Health) is 1346381993 and was assigned on February 2007. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's other name is Glen Roberts Child Study Center. The authorized official of this NPI record is Dr. William J Smith Psy.d. (Chief Operating Officer)

NPI

1346381993

Provider NameGLEN ROBERTS CHILD STUDY CENTER (VERDUGO MENTAL HEALTH)
Provider Location Address1540 E COLORADO ST GLENDALE, CA 91205
Provider Mailing Address1540 E COLORADO ST GLENDALE, CA 91205
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameGLEN ROBERTS CHILD STUDY CENTER
Other Name TypeOther Name (5)
Enumeration Date02-08-2007
Last Update Date08-14-2008


Primary Taxonomy

Taxonomy Code251S00000X
ClassificationCommunity/Behavioral Health
TypeAgencies
Taxonomy DescriptionA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Business Address

GLEN ROBERTS CHILD STUDY CENTER
1540 E COLORADO ST
GLENDALE, CA
ZIP 91205
Phone: (818) 244-7257
Fax: (818) 243-5431

Get Directions


Mailing Address

GLEN ROBERTS CHILD STUDY CENTER
1540 E COLORADO ST
GLENDALE, CA
ZIP 91205
Phone: (818) 244-7257
Fax: (818) 243-5431



Authorized Official

Authorized Official NameDR. WILLIAM J SMITH PSY.D.
Authorized Official TitleCHIEF OPERATING OFFICER
Authorized Official Phone(818) 244-7257

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
E96653MEDICARE UPIN (02)CA
W2002MEDICARE ID-TYPE UNSPECIFIED (04)CA

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477693877DR. WILLIAM JEFFERSON SMITH II PSY.D.
Individual
Psychologist (Clinical)1540 E COLORADO ST
GLENDALE, CA 91205
(818) 244-7257
1306986625DR. STEVEN HOCHSTADT PSY.D.
Individual
Psychologist (Clinical Child & Adolescent)1540 E COLORADO ST
GLENDALE, CA 91205
(818) 244-7257
1639219405 TRACY EVALANI PHAL PSY.D.
Individual
Psychologist (Clinical)1540 E COLORADO ST
GLENDALE, CA 91205
(818) 244-7257
1164563003VERDUGO MENTAL HEALTH
Organization
Community/Behavioral Health1540 E COLORADO ST
GLENDALE, CA 91205
(818) 244-7257
1548302318MRS. TRACI HIGA M.A.
Individual
Marriage & Family Therapist1540 E COLORADO ST
GLENDALE, CA 91205
(818) 541-9762
1790827228MISS SARINEH IRANOSSIAN M.A.
Individual
Community/Behavioral Health1540 E COLORADO ST
GLENDALE, CA 91205
(818) 541-9762
1659414365DR. PATRICK ALLEN KELLY PSY.D
Individual
Psychologist (Clinical)1540 E COLORADO ST
GLENDALE, CA 91205
(818) 638-5467
1295878106MS. SARA ALISON FLETCHER MSSW
Individual
Rehabilitation Practitioner1540 E COLORADO ST
GLENDALE, CA 91205
(818) 244-7257
1962545715 SHERYL ANN CARLSEN LMFT
Individual
Marriage & Family Therapist1540 E COLORADO ST
GLENDALE, CA 91205
(818) 244-7257
1568505931 RICHARD CIASCA M.D.
Individual
Psychiatry & Neurology (Psychiatry)1540 E COLORADO ST
GLENDALE, CA 91205
(818) 244-7257
1639212665MR. JOSEPH FRANCIS HERZBERG MFT
Individual
Marriage & Family Therapist1540 E COLORADO ST
GLENDALE, CA 91205
(818) 244-7257
1508909557MRS. ANN M ESCUE M.S.
Individual
Counselor (Mental Health)1540 E COLORADO ST
GLENDALE, CA 91205
(818) 244-7257
1477698470MS. LEDA SISKIND MFT
Individual
Counselor (Mental Health)1540 E COLORADO ST
GLENDALE, CA 91205
(818) 541-9762
1982739124DR. GEORGE WILLIAM ECKART PH.D.
Individual
Psychologist (Clinical)1540 E COLORADO ST
GLENDALE, CA 91205
(818) 244-7257
1376679670MS. SABRINA LEE M.S.
Individual
Marriage & Family Therapist1540 E COLORADO ST
GLENDALE, CA 91205
(818) 244-7257
1952437246MRS. VARDUI MARGARYAN RN
Individual
Registered Nurse1540 E COLORADO ST
GLENDALE, CA 91205
(818) 244-7257
1881720647MR. AARON LOEWY
Individual
Counselor1540 E COLORADO ST
GLENDALE, CA 91205
(818) 244-6836
1437285061MS. MARTHA COLE BASMADJIAN MFT
Individual
Marriage & Family Therapist1540 E COLORADO ST
GLENDALE, CA 91205
(818) 244-7257
1063549269MR. ROBERT JAMES JOESEL MFT
Individual
Marriage & Family Therapist1540 E COLORADO ST
GLENDALE, CA 91205
(818) 541-9762
1902934417MS. SETA S HAIG MS
Individual
Marriage & Family Therapist1540 E COLORADO ST
GLENDALE, CA 91205
(818) 244-7257

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.